| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $665.16 | $675.42 | $675.42 | |
Anthem BCBS
| Professional | $544.00 | $909.43 | $1,069.81 | |
Harvard Pilgrim
| Professional | $759.66 | $878.93 | $1,348.32 | |
Martin's Point
| Professional | $665.16 | $675.42 | $675.42 |